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Answer for Does Medicare Cover INR Testing Once A Month?

Posted on: September 30, 2015By: Staff

Medicare can cover INR testing once a month when certain conditions are met. Typically you’ll need to consult with your doctor and have them determine if it is medically necessary and confirm with Medicare that the treatment course will be covered (would fall under Part B – your physician insurance for outpatient procedures).

Here’s a link to a publication from CMS (the Center for Medicare and Medicaid Services) that provides a detailed explanation regarding INR testing, what specific conditions must be met to have it covered, and how Medicare covers it:

Please note, under Medicare Part B, only 80% of the expense would be covered by Medicare. If you have a Medicare Supplement plan, it may cover some or all of the other 20% (depending on the plan letter you have) of the service expenses.

If you do not have a Medicare Supplement, please feel free to contact me to see about qualifying for one. Medicare Supplement plans are standardized, meaning the benefits are exactly the same regardless of which insurance carrier you have the coverage through (only the price is different!) Even if you already have a Medicare Supplement plan, I can take a quick look to see if a lower monthly premium is available (takes less than 5 minutes and I may be able to save you a ton of money on your monthly premium).

I hope the information is helpful – please feel free to contact me with any other questions. Thanks very much.